Organization
MCDANIEL DERMATOLOGY, LLC
Active
Organization
MCDANIEL DERMATOLOGY, LLC
Active
Other names
McDaniel Dermatology and Skin Surgery Institute, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIANNA MCDANIEL DO (OWNER)
(601) 810-2466
Entity
Organization
Contact information
Practice address
109 NEW CAMELLIA BLVD STE 200, COVINGTON, LA 70433-7829
(985) 277-5463
Mailing address
109 NEW CAMELLIA BLVD STE 200, COVINGTON, LA 70433-7829
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
01/26/2021
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